Filing Letter to Board in Response to M Bennett Email with Exhibits 12 02 2024

Page 3 PLEASE TYPE OR PRINT ALL INFORMATION 2o2o 33 STATE ASSIGNED LICENSE NUMBER 027 oO2 The following questions identify inlormation about the licensed premises. This describes the area or place which is to be licensed for the sale, service, consumption, delivery, receipt or storage of alcoholic beverages. lf the license is inactive and NOT SITED AT A PLACE OF BUSINESS, answer question 3.'l only, entering N/A for'not applicable." lfyou use N/Aasa response to queslion 3.'1, question 2.2 on Page 2 should also be answered N/A.l 3.1 HOW MANY SEPARATE BUILDINGSARETO BE INCLUDED UNDER THIS LICENSE? 3 lf more lhan one building is to be included under this license, a separate Page 3 is to be submitted covering each building An up-to-date sketch of the entire licensed premises should be submitted for inclusion in the State ABC license file. 3.2 BUTLDTNG No. 1 or 3 ro BE LTcENSED. 3.3 IS THE ENTIRE BUILOING TO BE LICENSED? X Yes No lf the answer to question 3.3 is 'No,' speciry which floors are to b€ under license and which ones are not by answering the following questions: 3.4 Basement _Yes _No _Yes _No _ Yes _ No _Yes _No lnfoor 2d floor 3'd floor _yes _No All of it _yes _No yes _ All of it _ No All of it _yes _No All of it Speciry each additional floor number to be included under this license: lf only patt ofany floor is to be licensed, attach a more detailed explanation with sketches to cleariy delineate licensed areas from unlicensed areas. 3.5 ARE ANY GROUNDS ADJACENT TO THE BUILDING UNDER LICENSE TO BE INCLUDED AS PART OF THE LICENSED PREMISES? X Yes _No 3.6 IS THERE ANY UNLICENSED AREA LOCATED BETWEEN BUILDINGS UNDER THIS LICENSE OR BETWEEN LICENSED ADJACENT GROUNDS? Yes x No IF THE ANSWER IS "YES,'ATTACH A SKETCH OF THE LICENSED AND UNLICENSEDAREAS SHOWNG DIMENSIONS IN FEET. BUILDING? "YES," IF IS THERE A MORTGAGE ON THE BUILDING? DOES THE APPLICANT LEASE THE BUILDING? DOES THE APPLICANT OWN THE X Yes -Yes -Yes No No --I!-X No lf there is a mortgage on the property, answer question 3.8. lf the licensed premise is leased, answer queslion 3.9. 3.8 MORTGAGEE (HOLDER OF MORTGAGE) (Last Name, First Name, Middle lnitial or Corporate Name) Street Address Street Name Number P.O.Box#_ State Municipality zip 3.9 LANDLORD (HOLDER OF LEASE): (Last Name, First Name, Middle lnitial or Corporate Name) Street Address -- - Number P.O.

) Street Address Street Name Number P.O.Box#_ State Municipality zip 3.9 LANDLORD (HOLDER OF LEASE): (Last Name, First Name, Middle lnitial or Corporate Name) Street Address -- - Number P.O. Box # zip -- Street Name Municipality - State